Active NPI
Ihosvani Barroso, M.D
- General Practice Physician
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME122334
- Practice address
- 4835 E 4TH Ave Ste B
Hialeah, FL 33013-1814 - Phone
- (786) 899-0119
- Fax
- (786) 899-0440
- NPI assigned
- Oct 22, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME1223334 | FL | |
| General Practice Physician | 208D00000X | ME122334 | FL | Primary |
Addresses
Primary practice location
4835 E 4TH Ave Ste B
Hialeah, FL 33013-1814
Mailing address
4835 E 4TH Ave Ste B
Hialeah, FL 33013-1814
Phone (786) 899-0119
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015241700 | Medicaid | FL | |
| ME122334 | Other | FL | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4835 E 4TH Ave
Suite B
Hialeah, FL 33013-1814
Phone (786) 899-0119
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME1223334 | FL | MD | Pediatrics Physician |
| ME122334 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidz Medical Services, Inc | Current | Accepting new patients | |
| Barroso Medical Services LLC | Pediatrics | Current | Accepting new patients |
| Kidz Medical Services, Inc | Current | Accepting new patients | |
| Start Care Ppec | Pediatrics | Current | Accepting new patients |
Locations
9980 Central Park Blvd N
Ste 318
Boca Raton, FL 33428
Phone (561) 451-0500
5955 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 662-8668
4835 E 4th Ave
#B
Hialeah, FL 33013
Phone (786) 431-1376
975 Baptist Way
Ste 203
Homestead, FL 33033
Phone (305) 242-8200
Interoperability endpoints
- ihosvani_barroso_md@yourcarecommunity.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Children's Hospital
- Coral Gables, FL
- NPI 1366408379
-
- Pediatric Nephrology Physician
- South Miami, FL
- NPI 1730637927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595289600000",
"number": "1992058408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4835 E 4TH AVE STE B",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330131814",
"telephone_number": "786-899-0119",
"fax_number": "786-899-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4835 E 4TH AVE STE B",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330131814",
"telephone_number": "786-899-0119",
"fax_number": "786-899-0440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARROSO",
"first_name": "IHOSVANI",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-22",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME1223334",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME122334",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015241700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME122334",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.